The aim of the study was to determine the methane production in cattle grazing in the Peruvian highlands in a pasture of Festuca dolichophylla - Muhlenbergia fastigiata (Chilliguar), supplemented with silage and concentrate or tannins during the dry season (August). The study was conducted at the Experimental Centre «La Raya», Cusco, Peru, located at an altitude of 4200 m. Three treatments were used (T1: natural grass + oat silage, T2: as in T1 + tannins, T3: as in T1 + concentrate). Each treatment had four replicates distributed in a hierarchical design. Methane determination was performed using the sulfur hexafluoride (SF6) marker technique. The measurement was during 24 h for 7 d. The average energy content in the pasture was 4.1 Mcal GE/g, organic matter 91.8%, crude protein 10.3% and dry matter 91.17%. The methane (g/d) production for T1 was 421.7 ± 43.4, for T2 was 330.6 ± 66.7...

El objetivo del estudio fue determinar la producción de metano en vacunos al pastoreo en el altiplano peruano en un pastizal de Festuca dolichophylla - Muhlenbergia fastigiata (Chilliguar), suplementados con ensilado y concentrado o taninos durante la época seca (agosto). El estudio se realizó en el Centro Experimental «La Raya», Cusco, Perú, ubicado a una altitud de 4200 msnm. Se plantearon tres tratamientos (T1: pastos naturales + ensilado de avena; T2: como en T1 + taninos; T3: como en T1 + concentrado). Cada tratamiento contenía cuatro repeticiones distribuidos en un diseño jerárquico. La determinación de metano se realizó con la técnica del marcador con hexafluoruro de azufre (SF6), siendo la frecuencia de medición por animal de 24 h por 7 d. El contenido de energía promedio en el pastizal fue de 4.1 Mcal EB/g, materia orgánica 91.8%, proteína cruda 10.3% y materia s...

OBJECTIVE: To present three cases of breast tuberculosis. MATERIALS AND METHODS: The medical records of three patients with breast tuberculosis clinic and histologically diagnosed in the Health Center between 1998 and 1999. Progress was revised RESULTS: The three cases were female patients aged between 27 and 31 years. The growth was varied flogótica and consistency, without axillary lymph node biopsy diagnosis of chronic granulomatous inflammatory process was consistent with tuberculous etiology. All had a favorable evolution and surgical aftercare tuberculosis. CONCLUSION: We report three cases of breast tuberculosis where no objective extramammary involvement.

Depression associated with stroke affects roughly one-third of stroke survivors. Post-stroke depression (PSD) is thought to adversely influence functional outcome by limiting participation in rehabilitation, decreasing physical, social, and cognitive function, and affecting neuroplasticity thereby placing stroke survivors at high risk for future vascular events. PSD has also been associated with higher mortality rates after stroke. In Peru, a country where there is no national stroke program and mental health disorders are largely underdiagnosed and untreated, people with PSD are likely to be further challenged by dependency and impoverished conditions that will limit their use of ambulatory services, leading to inadequate clinical follow-up. In this scenario, mobile health (mHealth) technology offers a promising approach to extend access to high-quality and culturally tailored evidence-...

Stroke is a major cause of death and disability, with most of its burden now affecting low- and middle-income countries (LMIC). People in rural areas of LMIC who have a stroke receive very little acute stroke care and local healthcare workers and family caregivers in these regions lack the necessary knowledge to assist them. Intriguingly, a recent rapid growth in cell-phone use and digital technology in rural areas has not yet been appropriately exploited for health care training and delivery purposes. What should be done in rural areas, at the community setting-level, where access to healthcare is limited remains a challenge. We review the evidence on improving post-stroke outcomes including lowering the risks of functional disability, stroke recurrence, and mortality, and propose some approaches, to target post-stroke care and rehabilitation, noting key challenges in designing suitable...